| NPI | 1366673212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 3763) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YP2500X Counselor, Professional | |
| 101YP2500X Counselor, Professional (Licence: PA PC005419) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2010-01-09 |